超低出生体重儿的呼吸支持策略

随着科学知识及技术进步,超低出生体重儿生存率显著提高.这些新生儿出生后常需呼吸支持,合理的肺保护通气策略有助于减轻肺损伤、降低支气管肺发育不良的发生率.呼吸支持形式取决于生后状况,重要的是如何正确应用机械通气,达到理想的气体交换,避免通气损伤.无创性呼吸支持作为出生时最初的干预措施及其在向气管插管或机械通气治疗转变过程中的应用具有较高的研究价值.

Respiratory support strategies for extremely low birth weight infants

The survival of extremely low birth weight infants has increased significantly due to improvement in both scientific knowledge and technology.Lung protective ventilatory strategies have been used for these infants in attempts to decrease lung injury severity and the incidence of bronchopulmonary dysplasia.The modalities of respiratory support will depend on the status of birth.It is important to apply these techniques correctly to achieve adequate gas exchange and avoid ventilatory injury.Non-invasive ventilatory support shows valuable as an initial intervention after birth and is an effective alternative to endotracheal intubation or mechanical ventilatory treatment.